Cochrane · systematic review · CD012202
Exercise for pregnant women with gestational diabetes for improving maternal and fetal outcomes
Brown, J, Ceysens, G, Boulvain, M · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
7
No studies
7
Included studies
NR
No studies 7 · 50%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 28.6%Moderate 2 · 14.3%High 1 · 7.1%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Exercise compared to control for pregnant women with gestational diabetes for improving maternal outcomes
Population: pregnant women with gestational diabetes
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hypertensive disorders of pregnancy (pre‐eclampsia) Exercise vs control | RR 0.31 [0.01, 7.09] | 2 studies · 48 participants | Low Downgraded: risk of bias |
Caesarean section Exercise vs control | RR 0.86 [0.63, 1.16] | 5 studies · 316 participants | Moderate Downgraded: risk of bias |
Development of type 2 diabetes ‐ not measured Exercise vs control | no estimate extracted | NR | No studies |
Perineal trauma/tearing ‐ not measured Exercise vs control | no estimate extracted | NR | No studies |
Postnatal weight retention or return to pre‐pregnancy weight (maternal BMI ( Exercise vs control | no estimate extracted | 3 studies · 254 participants | High |
Postnatal depression ‐ not measured Exercise vs control | no estimate extracted | NR | No studies |
Induction of labour Exercise vs control | RR 1.38 [0.71, 2.68] | 1 study · 40 participants | Low Downgraded: risk of bias |
Exercise compared to control for pregnant women with gestational diabetes for improving fetal outcomes
Population: pregnant women with gestational diabetes
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Large‐for‐gestational age ‐ not reported Exercise vs control | no estimate extracted | NR | No studies |
Perinatal mortality (stillbirth and neonatal mortality) Exercise vs control | no estimate extracted | 1 study · 19 participants | Low Downgraded: risk of bias |
Mortality and morbidity composite (variously defined by trials, e.g. perinatal or infant death, shoulder dystocia, bone fracture or nerve palsy) Exercise vs control | RR 0.56 [0.12, 2.61] | 2 studies · 169 participants | Moderate Downgraded: risk of bias, imprecision |
Neonatal hypoglycaemia Exercise vs control | RR 2 [0.2, 20.04] | 1 study · 34 participants | Low Downgraded: risk of bias |
Adiposity ‐ not reported Exercise vs control | no estimate extracted | NR | No studies |
Diabetes (type 1, type 2) ‐ not reported Exercise vs control | no estimate extracted | NR | No studies |
Neurosensory disability Exercise vs control | no estimate extracted | NR | No studies |